The Christie NHS Foundation Trust, situated in south Manchester, is the largest cancer treatment centre of its kind in Europe, and an international leader in cancer research and development. The Christie serves a local population of 3 million within the Greater Manchester & Cheshire Cancer Network which provides surgery, radiotherapy and complex chemotherapy services.
Satellite radiotherapy sites in Oldham, Salford and a mobile chemotherapy service enable most care to be delivered close to the patient's home.
The Christie Hospital NHS Foundation Trust has continued a program of major investment at the main hospital site, this includes: the recent opening of NHS England's first Proton Beam Therapy Centre, an eight bedded Oncological Critical Care Unit (OCCU) with Level 3 facilities, nine theatres, two Da Vinci robotic surgical systems, an active Clinical Trials Unit, Oak Road Treatment Centre chemotherapy suite (the largest in the UK - working 6 days a week), Brachytherapy unit, expanded Young Oncology and Haem-oncology unit, Maggie's Centre, Manchester Cancer Research Centre and the exciting redevelopment of the Paterson research facility to be opened 2021, which will give the opportunity of collaborative team research.
Main duties of the job
Due to growth within our service, we are seeking two experienced Consultant Anaesthetists for a 12-month fixed period to support the department of Anaesthesia, Critical Care and Pain Services across a range of oncological specialties in our large tertiary single site cancer centre. The post holder willprovide sessions in Anaesthesia for Brachytherapy, Colorectal, Plastics and Urology surgical specialties and will undertake out of hours on call cover, as part of our theatre on call rota.
There is an example job plan within the job description of this advert, but there is a level of flexibility of how this job plan can be adapted based on the skills and interests of the successful post holders, this will be agreed with the Clinical Director for Anaesthesia & Critical Care on appointment.
The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK
DUTIES AND RESPONSIBILITIES
The medical establishment provides 18 Consultants within the department, nine of which contribute to critical care cover. There are nine resident specialty doctors covering OCCU, supported by two specialist trainees in Acute Medicine and one Advanced Nurse Practitioner.
The post holder will share with the other consultants the responsibility for the continuity of care of patients treated at The Christie. S/he will be expected to work with local managers and professional colleagues in the efficient running of services and will share administrative duties with consultant colleagues.
Subject to the provisions of the Terms and Conditions of Service, the successful candidate is expected to follow divisions agreed policies and procedures, drawn up in consultation with health care professionals on clinical matters, and to follow the standing orders and financial instructions of The Christie NHS Foundation Trust.
The contractual commitment will be an annualised average of 10 PAs per week. The consultant on-call commitment for this post is to cover the Theatres out-of-hours and its currently counted as 0.67 PA/week (subject of annual review).
Anaesthetic care is available for a range of specialised oncological surgical procedures, often complex and requiring multidisciplinary input. The specialties involved include GI and colo-rectal surgery, urology, gynaecology, plastic and reconstructive surgery. Anaesthetic services are also provided for radiotherapy and interventional radiology.
Acute and Chronic Pain Service
The Acute Pain Service at the Christie has long been established as a part of patient care in the trust. This service oversees approximately 300 epidurals and 300 PCAs per year offered through theatres and the OCCU, predominately for the surgical patients. The service also provides, and has written, the epidural, acute pain and PCA guidelines and prescription charts for the trust. It also provides the educational programme and educational materials for all grades of staff.
The Service also has a close relationship with the Supportive Care Team (approximately 15% of acute pain patients coming through The Christie also have chronic pain problems).
The Christie Directorate of Surgery is a specialist tertiary referral surgical centre that concentrates on rare cancers, complex procedures and multi-disciplinary cancer surgery and sits within the Cancer Centre Services Division of the Trust. All of our specialities (colorectal surgery, urology, gynaecology, plastic and reconstruction) work as a single service in a network across populations ranging from 1.5 25 million, with Senior Specialist Registrars and Clinical Fellows allocated by the Specialty Training Committees to support these areas.
Surgery is an integral part of The Christie comprehensive cancer centre. Our surgical teams work closely with other professionals, e.g. Clinical and Medical Oncology, Diagnostic and Interventional Radiology, Critical Care and Anaesthetics, Acute Oncology, Palliative Supportive care, Complementary therapies, Psycho-oncology, Pathology, Nuclear Medicine and Researchers. This allows for complex multidisciplinary care of patients requiring multimodality therapies. Additionally, the Surgical Directorate provide support to patients undergoing radiotherapy and chemotherapy for their cancer who suffer complications or side effects that require surgical opinion/management.
The Directorate of Surgery provides a service to local, regional and national populations. Much of our work is based on rare and complex cancers under the remit of specialised and highly specialised commissioning, whilst ensuring patients being treated non-surgically, within the comprehensive centre, are supported appropriately.
In addition to the specialist services the surgical department is one of the two nationally funded referral centres for peritoneal tumors undertaking major, multi-visceral, cyto-reductive procedures with Heated Intraoperative Intraperitoneal Chemotherapy (HIPEC).
Our surgical facilities are comprehensively equipped, running 7 operating theatres, two of which are Robotic and a separate dedicated radiotherapy theatre. With a further two operating theatres one robotic and one integrated laparoscopic, opening in December 2020 for The Christie Private Care.
Continuing Professional Development
The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.
The job plan outlines the requirements of the post and may be altered by agreement and in response to service needs with the Clinical Director Anaesthesia and Critical Care with the support of the Directorate Operations Manager, this will be subject to an annual review in line with Trust policy.
The annual review will examine all aspects of the job plan and should be carried out jointly by the Clinical Director, Service Manager and the postholder. This review will also include an assessment of professional development and defined goals for the future.
Job Plan PA Summary
Total PAs Direct Clinical Care (DCC)
Proton AM (or main theatres) / PM flexi alternate weeks (1 in 2)
Flexi / Theatre All day Thursday
Theatre All day Friday
Theatre on call out of hours
Supporting Professional Activities (SPA)
Arrangements to visit the hospital may be made direct with:
Name: Dr Pawel Arkuszynski
Position: Consultant Anaesthetist & Clinical Director in Anaesthesia & Critical Care
Essential for the post
Desirable for the post
METHOD OF ASSESSMENT*
Full GMC registration with a valid license to practice
CCT or CESR (or equivalent) with entry on Specialist Register for Anaesthesia
or within six months of anticipated CCT date on the date of interview
Member of a medical indemnity organisation
FRCA or equivalent
FFICM, EDIC or equivalent
ALS, ATLS or equivalent
Additional degree or post-graduate qualification (MRCP, MD etc)
Entry on the General Medical Council (GMC) specialist register via one of the following:
- Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of interview)
- Certificate of Eligibility for Specialist Registration
Research / Publications
Regular commitment to continuing medical education
Involvement in Clinical Research in Critical Care, Anaesthesia and/or Oncology
Presentations at regional and national meetings
Publications in peer reviewed journal
Evidence of (or equivalent):
Smooth progression through training consistent with personal circumstances
Higher training in airway management, general, urological and gynaecological surgery
Ability to manage risk and end of life decisions
Evidence of (or equivalent):
Relevant medical experience outside anaesthesia
Advanced training general, urological and gynaecological surgery
Advanced training in airway management
Minimum of 7 years experience in anaesthesia/intensive care
1 year working in the
Good understanding of clinical governance
Active consistent engagement with clinical audit
Evidence of implementing change to improve patient care
Experience of postgraduate and undergraduate teaching
Evidence of achieving GMC standards to be recognised as a clinical supervisor
Active regular participation in teaching and training of medical and para-medical colleagues
Experience of undergraduate course and curriculum development
Evidence of achieving GMC standards to be recognised as an educational supervisor
Extensive / formal experience in medical education including regional teaching
Formal Educational Qualification/Postgraduate educational qualification
Life support course instructor
5. PERSONAL SKILLS
Good organisational skills
Good interpersonal skills
Excellent written and spoken English
Industry and enthusiasm
Flexibility in a changing work environment
Membership of appropriate professional society/societies, knowledge of up to date literature
Proven ability to build and maintain effective teams
Positive attitude towards members of the wider healthcare team
Is empathetic and sensitive to patient needs
Able to explain things clearly particularly complex and sensitive information
Is able to influence and persuade effectively
Evidence of reflective practice
Good understanding of NHS management structures
Caring and responsible attitude to colleagues
Evidence of leadership in anaesthesia/critical care
Within 30 minutes travel time to the hospital.
Full UK driving license
Abbreviations for Methods of Assessment:
AF Application Form
CE Certification Evidence
- Full GMC registration with a valid license to practice
- CCT or CESR (or equivalent) with entry on Specialist Register for Anaesthesia or within six months of anticipated CCT date on the date of interview
- Member of a medical indemnity organisation
- FICM recognition
- FRCA or equivalent
- FFICM, EDIC or equivalent